CHARLIE VAN DIVIERE LTD
Suppliers at Boyce Guin Rd, Tignall, GA

License number
Georgia 00462393 A&B
Category
Suppliers
Type
Durable Medical Equipment & Medical Supplies
Owner
Name: MR. CHAS. L. VAN DIVIERE JR.
Title: PRESIDENT
Phone: (706) 285-2073
Address
Address
357 Boyce Guin Rd, Tignall, GA 30668
National Provider ID: 1962568626
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.